Form No.SC (C) - 2
[under sub-rule (1A) of rule 3 of the Customs (Settlement of Cases) Rules, 2007]
Before the Customs and Central Excise Settlement Commission
___________Bench at______________
Form of application for settlement of a case of person under sub-section (5) of section
127B of the Act
(ii) E-mail address of the Person, if any
(ii) Telephone No.
(ii) IEC No. (if any)
(iii) Status (see note 2)
(ii) Postal address of the Commissioner of Customs having jurisdiction over the person
Signature of the Person
Verification
I ........... son/daughter of ........... residing at ........... do solemnly declare that I am making this application in my capacity as ............ and I am competent to verify it.
That the contents of this application are true and that I have not filed any application for settlement of the provisions of the Chapter XIVA of the Customs Act, 1962 before the Settlement Commission and also that no information relevant to the facts of the case has been suppressed. Annexures of the documents accompanying the application are true copies of the originals and the tables showing financial transactions are correct and are duly attested by me.
That no proceeding in respect of the case for which settlement is being sought, is pending before Commissioner (Appeals), Customs, Excise and Service Tax Appellate Tribunal or the courts, as the case may be, or has been remanded back to the adjudicating authority by the said appellate authorities/courts.
Verified today the ........... day of ........... (mention the month and year) ............ (mention the place)
Deponent
Note:
1. The application fee should be credited in a branch of the authorized bank or a branch of the State Bank of India or a branch of Reserve Bank of India and the triplicate copy of the challan sent to the Settlement Commission with application. The Settlement Commission will not accept cheques, drafts, hundies or other negotiable instruments.
2.Please state whether individual, Hindu undivided family, company, firm, an association of persons, etc.
Annexure
Statement containing particulars, referred to in item 7 of the application made under sub-section (5) of section 127B of the Customs Act, 1962.
1. Full and true disclosure of the facts regarding the issues to be settled including the terms of settlement sought for by the applicant.
Place :
Date :